Anderson, Patric
Anderson, Patric is an sole proprietor health care provider with primary practice located at 7301 Rogers Ave , Fort Smith AR 72903-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Anderson, Patric can be contacted via phone (479) 314-6000.Contact Information
Primary practice address
7301 Rogers Ave
Fort Smith AR 72903-4100
Phone: (479) 314-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | E-2148 | Arkansas |
Profile Details
| NPI number | 1730128935 |
|---|---|
| LBN Legal business name | Anderson, Patric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Dec 30th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730128935 | NPPES |
| Oklahoma | MEDICAID | 100142410B | |
| Oklahoma | MEDICAID | 137508001 |
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